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General NPI Number Information
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NPI Number | 1023119963
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Entity Type | Organization
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Legal Business Name | PERGUZ INC
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 3B4 CALLE BORGONA URB. VILLA DEL REY 3RA SECCION
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City | CAGUAS
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State | PR
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Zip | 00727
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Country | US
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Telephone | 787-703-1337
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Fax | 787-703-1337
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Provider Business Mailing Address
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Address Line | 3B4 CALLE BORGONA URB. VILLA DEL REY 3RA SECCION
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City | CAGUAS
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State | PR
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Zip | 00727
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Country | US
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Telephone | 787-703-1337
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Fax | 787-703-1337
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MANUEL E. GUZMAN
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Credential |
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Telephone | 787-703-1337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | PR
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